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Home My WebLink AboutX2022-0806 - Permitsrrr„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0801 r ,.4 r 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 A 8 0 6 Project No: 0968-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 .�„ Issued Date : 03/21/2022 Combination Type - SFP ELEC Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0312112025 OR PERMIT WILL BE INVALID Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 211 IRIS AVE NB Description: DELTA 3 * ADD'L SCOPE* DRYWALL, ELECTRICAL, & FRAMING. RESTUCCO. Legal Desc.: RESUB OF CORONA DEL MAR BLK 35 LOT 13 INSPECT Owner: DUNCAN ROBERT Contractor: BURKHART BROTHERS CONSTR Architect: V Address: 211 IRIS AVE Address: 12 BALBOA COVES Address: ' CDM CA 92625 NEWPORT BEACH CA 92663 ' Phone Applicant: GULIAN ED Address: 5855 E NAPLES PLAZA LONG BEACH CA 90803 Phone: 562-434-6993 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: N Construction Valuation: $10 Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $22.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Phone: 949-375-6725 Con State Lic: 905510 Lic Expire: 1013112023 Bus Lic: BT30026859 Lic Exp Date: 03/3112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1373426 Expire: 02/0112023 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Parkinq Spa Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.22 $0.00 $0.00 Phone: State Lic: Engineer: SALEH ZOUHEIR Address: 1304 CORTE MALTERA COSTA MESA CA 92626 Phone: 562-235-4572 State Lic:C-042881 Designer: Address: Phone: Special Conditions: REV22-0473 Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication: $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTAL FEE: $552.24 Plan Check Fee : $266.02 Fee Due at Permit Issuance : $286.22 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: \ \ PLAN CHECK BY:'�'�/�' GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ;Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner c!,property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt f,cn, licensure under the Contractors' State License Law for the following reason: Ely m; signature belc.v I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal sell a structure. that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Profess, ions Code is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date UCEYSED CONTRACTOR'S DECLARATION her=hy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 7 3 of the Business and r as i de, n license is in full force and effect. License C,,ass License No Date I hL Contractor Signatu nr(1RKERS' COMPENSATION DECLARATION IAPNINC, FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE '.OrT OF COMPENS:.T1W:, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm urder ponalty of perjury one of the following declarations: I have and, will,ma-ntain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Qrmance of the wom for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent Date I certify that, in the pertorm c f the war f r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre tat, if I should becom s je t t e work pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 'signature of Applicant Date IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Ci it Code). Ender's Name Lender's Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have prpyided is correct. I agree to comply with all applicable city and county or es and state laws relating to building construction. I authorize representatives of this city or cou o ent r bove-i property far inspection purposes. 7 il Signature of Property Owner or Authorized Agen ✓� Print Property Owner's or Authorized Agent's Nam 0 Dat J ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG ULATION5 PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL Z • Z M , '� CERTIFICATE OF OCCUPANCYISSUED I SUBMITTED ASBESTOS NOTIFICATION TO EPA TO